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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TYEISHA WILKINS WITHERSPOON, AGPCNP

Active

TYEISHA WILKINS WITHERSPOON, AGPCNP is a Primary Care Nurse Practitioner healthcare provider located in ELLICOTT CITY, Maryland. NPI 1720800600 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · ELLICOTT CITY, MD

Registration Details

NPI Number
1720800600
Provider Type
Individual
Gender
Female
NPI Issued
Oct 30, 2024 (1.7487563779789 yrs)
Last Updated
Dec 6, 2024
Licenses
R223487 (MD)
R223487 (MD)
R223487 (MD)

Practice Information

Address
4801 DORSEY HALL DR STE 226
ELLICOTT CITY, MD, 210427764
Browse MD providers · Browse ZIP 21042
Phone
4109977660
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X

Other Primary Care Nurse Practitioner Providers in ELLICOTT CITY, MD

Name Credential NPI
TRICIA K ANGULO-BARTLETT CRNP 1134160070
MRS. ELIZABETH WHITFIELD MSN, CRNP, MPH 1033395272
CONSTANCE AYUK TATAW NP 1225599368
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.